medigraphic.com
SPANISH

Acta Médica Grupo Angeles

Órgano Oficial del Hospital Angeles Health System
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
    • Names and affiliations of the Editorial Board
  • Policies
  • About us
    • Data sharing policy
    • Stated aims and scope
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 4

<< Back Next >>

Acta Med 2020; 18 (4)

Role of chest CT in SARS-CoV-2 pneumonia patients. Experience of Hospital Angeles Lomas

Velasco JHM, Hernández OFR, Lozano ZH, Calva AM, Chávez AÁC
Full text How to cite this article 10.35366/97265

DOI

DOI: 10.35366/97265
URL: https://dx.doi.org/10.35366/97265

Language: Spanish
References: 10
Page: 390-394
PDF size: 253.33 Kb.


Key words:

Computed tomography, SARS-CoV-2, ground glass, crazy-paving, CO-RADS, RSNA.

ABSTRACT

Objective: To clarify the role of CT in the management of patients with SARS-CoV-2 pneumonia and to generate standardized radiological reports. Material and methods: 108 simple chest tomography scans were evaluated, of patients with suspected SARS-CoV-2 pneumonia who also underwent RT-PCR. Results: 68 patients had tomographic findings suggestive of SARS-CoV-2 pneumonia (consensus of the RSNA and CO-RADS), of which 51 had additionally positive RT-PCR test. The other group of 40 patients had normal or negative tomographies, with 6 positive results for RT-PCR respectively. The sensitivity of the CT in our study was 89%, the specificity of 66% with an LR (+) of 2.61 and LR (-) of 0.16. Conclusion: CT lacks specificity to be considered a diagnostic test, however its use as a screening tool is justified in certain clinical contexts. A potential virtue of CT is its utility as a tool in prognosis and therefore patient management.


REFERENCES

  1. COVID-19 Tablero México-CONACYT - CentroGeo - GeoInt - DataLab [Internet]. [Cited 2020 May 26]. Available from: https://coronavirus.gob.mx/datos/.

  2. Tay MZ, Poh CM, Rénia L, MacAry PA, Ng LFP. The trinity of COVID-19: immunity, inflammation and intervention. Nat Rev Immunol. 2020; 1-12. Available from: http://www.nature.com/articles/s41577-020-0311-8.

  3. Simpson S, Kay FU, Abbara S, Bhalla S, Chung JH, Chung M et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiol Cardiothorac Imaging. 2020; 2 (2): e200152. Available from: http://pubs.rsna.org/doi/10.1148/ryct.2020200152.

  4. Prokop M, van Everdingen W, van Rees Vellinga T, Quarles van Ufford J, Stöger L, Beenen L et al. CO-RADS-A categorical CT assessment scheme for patients with suspected COVID-19: definition and evaluation. Radiology. 2020; 296 (2): E97-E104. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32339082.

  5. Fuente-Alba C S, Molina VM. Likelihood ratio (razón de verosimilitud): definición y aplicación en radiología. Rev Argentina Radiol. 2017; 81 (3): 204-208.

  6. Dawson GF. Interpretación fácil de la bioestadística:  la conexión entre la evidencia y las decisiones médicas. Elsevier Health Sciences Spain; 2009. p. 205.

  7. American College of Radiology. Revised 2018. 2018; 1-12. Available from: https://acsearch.acr.org/docs/69504/Narrative/.

  8. Rubin GD, Haramati LB, Kanne JP, Schluger NW, Yim JJ, Anderson DJ et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Radiology. 2020; 201365.

  9. Mossa-Basha M, Azadi J, Ko J, Klein J, Meltzer C. RSNA COVID-19 task force: best practices for radiology departments during COVID-19. Radiological Society of North America. 2020; 1-7.

  10. Yang R, Li X, Liu H, Zhen Y, Zhang X, Xiong Q et al. Chest CT severity score: an imaging tool for assessing severe COVID-19. Radiol Cardiothorac Imaging. 2020; 2 (2): e200047. Available from: http://pubs.rsna.org/doi/10.1148/ryct.2020200047.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Med. 2020;18